Koj Puas Yuav Ntiav Tus Kws Pabcuam Lactation?
Zoo Siab
- Tus kws pab tswv yim pub mis niam ua dab tsi?
- Qhov no tau hloov pauv li cas thaum COVID-19?
- Koj yuav tsum nrhiav dab tsi hauv kws pab tswv yim pub niam mis?
- Puas yog cov kev pab cuam sab laj rau lactation muaj kev tuav pov hwm?
- Yog tias koj yuav tsum tau them, yuav mus ntsib tus nqi ntau npaum li cas?
- Thaum twg koj yuav tsum xav txog ntiav tus kws pab tswv yim lactation?
- Ntsuam xyuas rau
Tsuas yog ib ntus tom qab yug kuv tus ntxhais, Hnub Sunday, ob xyoos dhau los, kuv nco ntsoov kuv tus kws saib xyuas OB ntsia kuv, hais tias, "Okay, koj puas npaj pub mis?"
Kuv tsis yog - thiab kuv tsis paub tias kuv tab tom ua dab tsi tab sis, ua rau kuv xav tsis thoob, tus me nyuam latched thiab peb tawm.
Cov txiaj ntsig kev noj qab haus huv ntawm kev pub niam mis - uas Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Ntiaj Teb (WHO) qhia tias cov niam tshiab ua tshwj xeeb rau rau lub hlis - yog cov ntaub ntawv zoo: Cov mis nyuj tuaj yeem pab tiv thaiv cov menyuam mos los ntawm kev mob thiab txo cov teeb meem xws li mob hawb pob, rog, thiab sai sai. menyuam mos tuag tuag (SIDS), raws li kev tshawb fawb. Qhov kev ua no pab koj kho mob tom qab yug me nyuam (thaum ntxov thaum ntxov, koj lub tsev menyuam tau cog lus thaum koj tus menyuam latches, pab nws rov qab mus rau qhov loj me uas nws yog menyuam yaus ua ntej), thiab nws tseem txo qis kev pheej hmoo ntawm cov teeb meem xws li ntshav qab zib hom 2 thiab qee yam. hom mob qog noj ntshav rau niam yav tom ntej. Ntxiv rau, nws yog tus phooj ywg zoo: tsis muaj lub raj mis yas, tsim khoom lossis thauj pov tseg, thiab lwm yam.
Raws li ib tug niam, kuv xav tias muaj hmoo: Kuv txoj kev pub niam mis mus txog ib xyoos thiab muaj ob peb snags. Tab sis raws li tus tsim ntawm Nyob Zoo Hnub Sunday, lub platform online rau cov niam tshiab thiab xav tau, Kuv niaj hnub muaj niam qhia kuv tias lawv xav tsis thoob los ntawm kev paub.
Tom qab tag nrho, tsuas yog vim kev pub niam mis yog ntuj tsis tau txhais hais tias nws ib txwm tuaj lawm. Ntxiv rau, nws siv sijhawm ntev (koj puas paub tias cov menyuam mos tshiab tuaj yeem noj nce siab 12 zaug hauv ib hnub?!) thiab - yog tias muaj teeb meem tshwm sim - ntxhov siab. (Kev tshawb fawb los ntawm UC Davis Cov Tsev Kho Mob Me Nyuam pom tias 92 feem pua ntawm cov niam tshiab muaj tsawg kawg ib qho teeb meem pub niam mis tsis pub dhau peb hnub ntawm kev yug menyuam.) Kuv kuj yog tus ntseeg loj hauv kev pub mis rau koj tus menyuam kom zoo tshaj plaws uas ua haujlwm rau koj thiab koj tsev neeg - thiab qhov tseeb yog, tsis yog txhua tus poj niam tuaj yeem pub niam mis. (Saib: Tus Poj Niam Txoj Kev Mob Siab Rau Lub Kua Muag Los Pub Me Nyuam Yog Li Tiag)
Cov kws tshaj lij hais txog kev xav txog kev pub niam mis rau menyuam yog ib yam txuj ci - ib yam uas yuav tsum tau kawm thiab xyaum ua.Thiab hmoov zoo, muaj tag nrho pawg kws tshaj lij hu ua kws pab tswv yim pub niam mis uas pab cov neeg cev xeeb tub thiab niam tshiab ua qhov ntawd.
Yog koj txiav txim siab? Nov yog yam koj yuav tsum paub txog cov kws pab tswv yim pub niam mis, lawv ua dab tsi, thiab yuav mus li cas txog kev ntiav ib tus thaum lossis tom qab koj cev xeeb tub.
Tus kws pab tswv yim pub mis niam ua dab tsi?
Nyob rau hauv luv luv, tus kws pab tswv yim lactation qhia ib lub hom phiaj: txhawb cov poj niam uas xaiv pub niam mis, hais tias Emily Silver, MS, N.P.-C., I.B.C.L.C., tus kws kho mob hauv tsev neeg, tus kws pab tswv yim lactation, thiab tus tsim ntawm Boston NAPS. "Cov kws pab tswv yim pub mis pab cov poj niam tsim kom muaj qhov sib sib zog nqus kom lawv tsis txhob muaj mob nrog kev pub mis; kho cov phiaj xwm pub mis rau cov poj niam uas pub niam mis thiab ntxiv; cov poj niam loj thiab qhia lawv txog kev siv dej; thiab pab cov poj niam nrhiav cov teeb meem tshwj xeeb, mob, lossis kab mob. "
Tus kws tshaj lij lactation yuav tsum muaj peev xwm paub qhov txawv ntawm kev noj zaub mov tsis zoo, ntxiv rau Sharon Arnold-Haier, IBCLC, tus kws pab tswv yim lactation hauv New York tau teev nyob rau hauv kev pabcuam niam txiv kev noj qab haus huv Robyn. "Feem ntau kev sab laj txog kev pub niam mis yuav suav nrog kev tshuaj xyuas lub mis, ntsuas menyuam lub qhov ncauj, thiab soj ntsuam kev pub mis. Qee qhov teeb meem kev pub niam mis yuav yooj yim thiab lwm tus yuav nyuaj, xav tau kev saib xyuas txuas ntxiv."
Feem ntau, tus kws tshaj lij pub niam mis tuaj yeem muab ntau dua li tsuas yog txhawb nqa lactation, sau Nyiaj. "Peb tuaj yeem muab kev txhawb nqa kev xav thiab kev tshuaj xyuas thiab xa mus rau kev nyuaj siab tom qab yug menyuam," nws hais. "Feem ntau, peb qhov kev mus ntsib suav nrog cov lus qhia txog kev muaj sia nyob ntawm niam txiv thiab yuav ua li cas ua haujlwm ua ke ua ib pab neeg kom nkag mus rau hauv cov txheej txheem zoo ntawm tej yam xws li kev pw tsaug zog zoo. thiab lawv tsev neeg tag nrho thaum nws tuaj noj mov."
Thiab thaum nws yog qhov tseem ceeb tshaj plaws rau tus kws pab tswv yim pub mis kom ua haujlwm nyob hauv thaj tsam ntawm lawv cov kev coj ua, qee tus kws kho mob yog kws pab tswv yim pub mis thiab Cov kws kho mob, MDs, lossis lwm hom kws kho mob, uas txhais tau hais tias lawv tuaj yeem sau ntawv sau tshuaj thiab kho cov teeb meem nyuaj dua, hais tias Allyson Murphy, IBCLC., tus kws pab tswv yim txog lactation hauv New Jersey.
Qhov no tau hloov pauv li cas thaum COVID-19?
Thaum qee qhov mus ntsib tom tsev tseem tab tom tshwm sim nrog cov cuab yeej tiv thaiv tus kheej kom raug (PPE) thiab tshuaj ntsuam nyob rau hauv, kuj tseem muaj qhov loj dua thiab xav tau kev mus ntsib virtual thiab hu nrog kws tshaj lij pub mis. "Peb yuav luag peb npaug peb tus nqi ntawm kev mus ntsib virtual thiab txhawb nqa xov tooj thaum muaj kev kis thoob qhov txhia chaw txhawm rau saib xyuas cov neeg uas yuav muaj kev pheej hmoo rau COVID, cov neeg muaj kev phom sij uas tsis tuaj yeem muaj tus kws kho mob tuaj, lossis cov uas nyob qhov chaw uas tsis muaj ib tuj. ntawm kev txhawb nqa lactation, "hais tias Silver. (Kawm: Niam Qhia Nws Li Cas Yuav Yug Thaum Ntxov COVID-19)
Kev mus ntsib virtual - tshwj xeeb tshaj yog thawj ob peb hnub koj nyob hauv tsev - tuaj yeem pab tau zoo heev. "Ntau tus neeg siv khoom xav tias kev mus ntsib virtual yuav tsis muaj txiaj ntsig, tab sis kuv pom kev mus ntsib virtual kom ua tiav rau ntau tsev neeg," Arnold-Haier hais.
Koj yuav tsum nrhiav dab tsi hauv kws pab tswv yim pub niam mis?
Feem ntau hais lus, muaj ob yam tseem ceeb ntawm cov kws pab tswv yim lactation - International Board Certified Lactation Consultants (IBCLCs) thiab Certified Lactation Consultants (CLCs). IBCLCs yuav tsum ua tiav 90 teev ntawm kev qhia pub niam mis thiab kev paub kho mob ua haujlwm nrog tsev neeg. Lawv kuj yuav tsum raug lees paub tias yog cov kws kho mob (xws li tus kws kho mob, tus kws saib xyuas neeg mob, kws kho mob noj zaub mov, tus kws yug menyuam, thiab lwm yam) lossis ua tiav 14 chav kawm txog kev noj qab haus huv ua ntej zaum rau kev kuaj mob. CLCs, ntawm qhov tod tes, ua tiav 45 teev ntawm kev kawm ua ntej dhau qhov kev xeem tab sis tsis tas yuav tsum muaj kev paub dhau los ua haujlwm nrog cov neeg mob ua ntej ntawv pov thawj.
Cov ntawv pov thawj sib txawv ib sab, koj xav xaiv ib tus neeg uas nyob rau tib nplooj ntawv ib yam li koj thiab ua raws li koj txoj kev ntseeg, sau Nyiaj. Tej zaum qhov no txhais tau tias yog tus kws pab tswv yim pub niam mis uas tuaj yeem xav sab nraum lub thawv. Nws hais tias "Ib yam li tus kws kho menyuam yaus, qhov no yog ib tus neeg koj nyob ze thiab xav kom tuaj yeem tig mus rau kev pab thiab txhawb nqa yam tsis raug txiav txim," "Muaj ntau txoj hauv kev pub mis rau menyuam, suav nrog kev pub niam mis tshwj xeeb, pub niam mis thiab siv lub raj mis, tso thiab siv mis niam, lossis tseem pub niam mis thiab siv qee yam mis. Nws yog hais txog kev txheeb xyuas lub hom phiaj zoo tshaj plaws rau koj." Yog tias koj xav tias kev pub niam mis tsis ua haujlwm, IBCLC tuaj yeem pab koj daws teeb meem thiab nrhiav kev daws teeb meem zoo tshaj plaws rau koj tsev neeg. (Txog: Shawn Johnson Tau Txais Tiag Ntawm 'Niam Ua Tsis Txaus' Tom Qab Txiav Txim Tsis Pub Mis)
Koj kuj xav tau ib tus neeg uas yuav kho koj nrog kev ua siab zoo thiab kev nkag siab, hais tias Murphy. "Thaum ib tug neeg ncav cuag kuv, lawv feem ntau xav zoo li lawv nyob rau hauv kev kub ntxhov: lawv tau Googled, xa tag nrho lawv cov phooj ywg, thiab lawv ntshai heev, nyob rau sab saum toj ntawm kev qaug zog thiab hormonal."
Puas yog cov kev pab cuam sab laj rau lactation muaj kev tuav pov hwm?
FWIW, lactation services yog suav tias yog kev tiv thaiv kev saib xyuas raws li ib feem ntawm Txoj Cai Saib Xyuas Nqis Nqis (ACA), uas txhais tau tias lawv yuav tsum yuav npog. Tab sis, mus rau daim duab: "Txoj hauv kev uas txhua tus kws kho mob txhais lus txhais txoj cai sib txawv, uas txhais tau tias qee tus neeg muaj hmoo tau txais rau mus ntsib tom qab yug menyuam tsis tau them nqi thiab qhov tsis muaj hmoo ntawm peb tau nyam them tawm ntawm hnab tshos thiab nrhiav nyiaj rov qab tom qab, uas yuav lossis tsis tshwm sim, "hais Murphy.
Koj qhov kev ua tau zoo tshaj plaws: Tshawb xyuas nrog koj lub tuam txhab pov hwm ua ntej koj mus ntsib tus kws pab tswv yim lactation kom koj paub meej txog dab tsi tau them. Ib qho ntxiv? "Koj yuav muaj peev xwm ua tau zoo dua nrog kev them nyiaj rov qab yog tias koj tus kws pab tswv yim pub mis niam tseem muaj ntawv tso cai noj qab haus huv xws li kws kho mob, kws saib xyuas neeg mob, tus kws saib xyuas neeg mob, tus kws kho mob tus pab, lossis, hauv kuv qhov xwm txheej, sau npe noj zaub mov noj," piav qhia Arnold-Haier.
Yog tias koj yuav tsum tau them, yuav mus ntsib tus nqi ntau npaum li cas?
Yog tias koj tsis tuaj yeem muaj koj tus kws pab tswv yim pub mis niam tau txais kev pabcuam los ntawm kev pov hwm, tus nqi ntiav ib tus yuav txawv nyob ntawm seb koj nyob qhov twg thiab ntau npaum li cas paub txog tus kws pab tswv yim uas koj xav tau. Tab sis cov kws tshaj lij tau xam phaj rau daim ntawv no kwv yees qhov kev mus ntsib thawj zaug yuav raug nqi nyob qhov twg los ntawm $ 75 txog $ 450, nrog rau kev teem sijhawm rov qab luv dua thiab pheej yig dua.
"Kuv pom zoo tham nrog tus kws tshaj lij lactation ua ntej teem sijhawm mus ntsib kom paub tias lawv ua haujlwm li cas thiab yam koj tuaj yeem xav tau rau lawv tus nqi," qhia Arnold-Haier. Nws tuaj yeem suav txij ib zaug ib zaug mus rau ob teev mus rau qhov phiaj xwm kev saib xyuas sau ntawv, lossis tseem taug qab kev sib tham. Tus naj npawb ntawm lub sijhawm koj pom ntsib (zoo lossis IRL) nrog koj tus kws pab tswv yim yuav tag nrho nyob ntawm qhov kev txhawb nqa uas koj xav tau.
Thaum twg koj yuav tsum xav txog ntiav tus kws pab tswv yim lactation?
Ua ntej, qhia meej txog cov lus dab neeg loj: koj tsis tsuas yog xav tau kws pab tswv yim pub mis niam thaum muaj qee yam tsis raug. Silver hais tias "Kuv ib txwm hais, tsis txhob tos txog thaum muaj qee yam tsis raug lossis txog thaum koj nyob hauv qhov chaw tsis zoo los tshuaj nrog tus kws pab tswv yim pub mis," Silver hais. (Muaj feem cuam tshuam: Koj Puas Yuav Ntiav Doula los Pab Koj Thaum Cev Xeeb Tub thiab Menyuam Yug?)
Murphy hais tias "Kuv yog tus ntseeg loj hauv chav kawm pub niam mis rau menyuam. Kuv qhia lawv, kuv hlub lawv, kuv pom lawv ua haujlwm," Murphy hais. "Kev pub niam mis yog qhov txuj ci tshiab uas yuav tsum tau kawm. Mus rau hauv nws paub qhov ib txwm muaj thiab yam twg tsis pab koj muaj kev ntseeg siab dua, pab koj pom pob hauv txoj kev ua ntej ua ntej lawv dhau los ua kev sib tsoo, thiab cia koj tsim kev sib raug zoo nrog ib qho IBCLC ua ntej koj xa tuaj."
Nws tseem tsim nyog sau cia tias, feem ntau hais lus, hauv tsev kho mob lossis chaw yug menyuam, koj yuav muaj lub sijhawm los txuas nrog tus kws pab tswv yim lactation. COVID muaj, hmoov tsis, ua rau qhov no tsis tshua muaj. Arnold-Haier, uas ua haujlwm hauv tsev kho mob thiab ntiag tug, hais tias nyob rau lub sijhawm muaj kev sib kis, cov niam txiv tshiab thiab cov menyuam mos raug tso tawm sai dua li niaj zaus. "Vim li ntawd, ntau tus neeg tsis tuaj yeem ntsib nrog tus kws pab tswv yim lactation ua ntej yuav mus tsev thiab kev pub menyuam mos tuaj yeem zoo li txawv ntawm ib hnub mus rau ib hnub tsib thiab txuas ntxiv mus, yog li kev tawm sai sai tau tawm ntau yam tsis muaj kev txhawb nqa lawv tsim nyog." (Ntawm ib daim ntawv zoo sib xws: Tus nqi ntawm cev xeeb tub-txog kev tuag nyob rau hauv Teb Chaws Asmeskas yog Shockingly siab)
Thaum koj cov mis nkag los (feem ntau yog thaum koj twb tau tso tawm lawm), muaj caij nyoog uas koj yuav ntsib kev mob nkeeg. Thiab kev sib koom ua ke tuaj yeem ua rau muaj teeb meem latching thiab muaj peev xwm hloov pauv koj tus kheej li cas vim tias koj cov mis nyuj tuaj, hais tias Silver. "Nws yog lub sijhawm muaj lus nug ntau thiab nws yog txoj hauv kev rau peb los tshuaj xyuas cov niam tom qab yug menyuam: koj ua li cas? Koj nyob li cas?"
Yog koj yog tsis txiav txim siab ntiav ib tus kws pab tswv yim pub mis ua ntej sim pub mis niam? Nco ntsoov mus cuag ib tus neeg sai li sai tau qhov teeb meem tshwm sim. Murphy hais tias "Cov teeb meem tsis tau kho qee zaum tuaj yeem ua rau loj dua xws li txhaws cov kua mis hauv lub cev, mob qog noj ntshav, ua kom lub cev hnyav nce me me, lossis teeb meem cov kua mis," Murphy hais. "Pab pawg txhawb nqa los ntawm IBCLC lossis tau txais kev qhia pab dawb xws li La Leche League lossis Kev Pub Niam Mis Tebchaws Asmeskas kuj tseem yog qhov chaw zoo rau pib rau kev ntseeg tau, cov ntaub ntawv pov thawj." Qee zaum, koj tuaj yeem tau txais cov lus teb rau cov lus nug yooj yim yam tsis tau booking mus ntsib ib tus neeg.